A patient who has been taking an antihypertensive medication for several years is recovering from a myocardial infarction. The prescriber changes the patient's medication to an ACE inhibi-tor. The patient asks the nurse why a new drug is necessary
What is the nurse's response? a. "ACE inhibitors can prevent or reverse pathologic changes in the heart's struc-ture."
b. "ACE inhibitors help lower LDL choles-terol and raise HDL cholesterol."
c. "ACE inhibitors increase venous return to the heart, improving cardiac output."
d. "ACE inhibitors regulate electrolytes that affect the cardiac rhythm."
A
ACE inhibitors have many advantages over other antihypertensive medications, the most impor-tant of which is their ability to prevent or reverse pathologic changes in the heart and reduce the risk of cardiac mortality caused by hypertension. They are useful in patients with high low-density lipoprotein (LDL) or low high-density lipoprotein (HDL) cholesterol, but they do not directly affect this comorbidity. They reduce venous return to the heart, thereby reducing right heart size. They do not alter serum electrolyte levels.
You might also like to view...
A rapid response team within an acute care hospital is comprised of critical care physicians, nurses, and respiratory therapists. The team assists staff throughout the hospital with detecting and managing imminent patient deterioration
This is an example of a _____ organizational form. a. parallel b. functional c. modified program d. matrix
An older patient experienced an anaphylactic reaction after eating shrimp. How would the nurse best describe this response?
1. Type I hypersensitivity response 2. Type II hypersensitivity response 3. Type III hypersensitivity response 4. Type IV hypersensitivity response
A patient with a major chest injury was originally alert and oriented after recovery from surgery but is now becoming apprehensive and dizzy. What action should be taken by the nurse imme-diately?
a. Notify the healthcare provider. b. Perform a cardiopulmonary assessment. c. Elevate the head of the bed to 60 degrees. d. Provide the patient with pain medication.
The biophysical profile (BPP) uses five observations, including:
a. Alpha-fetoprotein level b. Gross body movements c. Fetal lung maturity d. Estimated length and weight